Comparison of classic laryngeal mask airway with nasogastric tube versus proseal laryngeal mask airway in adults undergoing laparoscopic cholecystectomy
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Supraglottic devices are in regular practice in India for laparoscopic cholecystectomy. Repeated use of supraglottic devices lead to risk of malfunction (herniation of cuff, inadequate seal) and transmissible infection. Proseal LMA is commonly used after cleaning many times due to economical factor. We plan this study to compare the leak fraction and incidence of gastric regurgitation after C-LMA with nasogastric tube and P-LMA in patients undergoing laparoscopic cholecystectomy. Materials and Method: Sixty adult patients of American Society of Anaesthesiologist I, II (ASA I, II) undergoing laparoscopic cholecystectomy under general anaesthesia were allocated randomly into two equal group to receive C-LMA with nasogastric tube or P-LMA. Patients who had any contraindication for using supraglottic devices were excluded. The leak fraction, airway pressure, ease to insertion, incidence of gastric regurgitation, postoperative sore throat were compared. Results: All patients were successfully ventilated in both the groups. There were no significant difference noted in leak fraction and incidence of regurgitation in both groups. Conclusion: P-LMA and C-LMA with nasogastric tube are equally effective ventilatory devices for laparoscopic cholecystectomy. As C-LMA with nasogastric tube facilitates drainage even postoperatively and much cheaper, it stays an economical device for laparoscopic cholecystectomy than P-LMA.
Authors and Affiliations
Shashi Prakash, Yashpal Singh, Anil K. Paswan, Rajesh Meena, Sandeep Loha, Arvind Bhalckar
Keywords
Related Articles
- EP ID EP315218
- DOI 10.18231/2394-4994.2017.0102
- Views 93
- Downloads 0
“Attenuation of hemodynamic response to laryngoscopy and endotracheal intubation - comparison of fentanyl, esmolol and metoprolol” in normotensive individuals
Introduction: Direct laryngoscopy and endotracheal intubation is an intrinsic component of general anaesthetic technique. It is a powerful stimulus which may evoke a plethora of sympathoadrenal stress responses. Various...
A comparison of intrathecal Dexmeditomidine and Buprenorphine as an adjuvants to isobaric spinal 0.75% Ropivacaine in patients undergoing elective lower limb surgery
Introduction: Ropivacaine is the single enantiomer specific local anaesthetic having reduced potential for cardiotoxicity and neurotoxicity. Its characteristics of slow onset, shorter duration of sensory analgesia and ra...
Comparison of epidural ropivacaine vs bupivacaine with addition of fentanyl or dexmedetomidine in major lower limb orthopaedic surgery
Background: Adequate analgesia following major lower limb orthopaedic surgeries is necessary for both intra and post-operative pain relief, to promote early ambulation and improved patient outcome. Aim: To study and comp...
A comparative study of efficacy and safety of oral ketamine and oral midazolam as premedicant for paediatric cardiac catheterization
Use of an effective sedative premedicant significantly minimizes the emotional trauma associated with perioperative anxiety and its sequelae Currently oral midazolam is the most commonly used premedicant in most of the c...
Comparison of channelled vs unchannelled video laryngoscope- A prospective randomised trial
Introduction Conventional laryngoscopy using the traditional Macintosh blade remains the commonest method of tracheal intubation in the routine clinical scenario Video laryngoscopes have taken over this position in many...